| NPI | 1548885064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA E VAIL President 360-207-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-01-23 |